Evidence map›Paper›PMID 34795736›Full record

ArticleAfrican health sciences2021

The utility of 'home-made' reagent red blood cells for antibody screening during pre-transfusion compatibility testing in Uganda.

Bernard Natukunda, Robert Wagubi, Ivan Taremwa, Benson Okongo, Yona Mbalibulha, Gayle Teramura, Meghan Delaney

Open access · diamondAbstract read
In one paragraph

Article in African health sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 32% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Bernard NatukundaDivision of Hematology and Transfusion Medicine, Faculty of Medicine, Mbarara University of Science and Technology, P. O. Box 1410, Mbarara, Uganda.
Robert WagubiDepartment of Internal Medicine, Mbarara Regional Referral Hospital, P. O. Box 40, Mbarara, Uganda.
Ivan TaremwaInstitute of Allied Health Sciences, Clarke International University, P. O. Box 7782, Kampala, Uganda.
Benson OkongoDepartment of Medical Laboratory Sciences, Faculty of Medicine, Mbarara University of Science and Technology, P. O. Box 1410, Mbarara, Uganda.
Yona MbalibulhaDepartment of Medical Laboratory Sciences, Faculty of Medicine, Mbarara University of Science and Technology, P. O. Box 1410, Mbarara, Uganda.
Gayle TeramuraBloodworks Northwest Immunohematology and RBC Genomics Reference Laboratory, 921 Terry Avenue, Seattle, Washington, 98104, United States.
Meghan DelaneyBloodworks Northwest Immunohematology and RBC Genomics Reference Laboratory, 921 Terry Avenue, Seattle, Washington, 98104, United States.
Mbarara University of Science and Technology · UGBloodworks Northwest · USChildren's National · USClarke International University · UG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe WHO recommends that pre-transfusion testing should include ABO/RhD grouping followed by screening for red blood cell (RBC) alloantibodies using the indirect antiglobulin test (IAT). However, in Uganda, current practice does not include RBC alloantibody screening.

objectiveTo assess the utility of 'home-made' reagent RBCs in alloantibody screening. MATERIALS AND

methodsIn a laboratory-based study, group O RhD positive volunteer donors were recruited and their extended phenotype performed for C, c, E, e, K, Fya, Fyb Jkb, S and s antigens. These 'home-made' reagent RBCs were preserved using Alsever's solution and alloantibody detection tests performed. For quality assurance, repeat alloantibody screening of patients' samples was done at Bloodworks Northwest Laboratory in Seattle, United States.

resultsA total of 36 group O RhD positive individuals were recruited as reagent RBC donors (median age, 25 years; range, 21 - 58 years; male-to-female ratio, 1.6:1). Out of the 311 IATs performed, 32 (10.3%) were positive. Confirmatory IAT testing in the United States was in agreement with the findings in Uganda.

conclusionUse of 'home-made' reagent RBCs during pre-transfusion testing in Uganda is feasible. We recommend the introduction of pre-transfusion IAT alloantibody screening in Uganda using 'home-made' reagent RBCs to improve transfusion safety.

Indexed as

Blood TransfusionErythrocytesIndicators and ReagentsAdultFemaleHumansIsoantibodiesMaleMiddle AgedUgandaYoung AdultIndicators and ReagentsIsoantibodiesBlood transfusion‘Home-made’ reagent RBCsPre-transfusion testingRBC alloantibody screeningUganda

Identifiers

PMID34795736
PMCPMC8568224
OpenAlexW3189144672

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.